security, we're going to be by the end of the summer back to almost 50% of all the concessions open, so while we have seen quite a reduction in passengers, the airport continues to operate and this contract in particular doesn't necessarily deal with passengers. it's more internal operations and staff verification. so if it were to be reduced because of the lower volume of traffic that we're seeing, it just wouldn't be paid. we wouldn't spend as much on the contract as we anticipated. >> superviser fewer: my concern is that actually we actually don't know the full effect of air traffic and what kind of -- we are going to a whole another spiking phase of covid-19 and not only that, many countries are not allowing us to fly into their countries. and also people who are tele commuting. so i am looking at this contract

and wondering, you also have actually a lot of law enforcement there. i am wondering why we might need this contract when we have excess law enforcement there at the airport as the report just gave us in the other report and i am sure that the supervisors have reviewed that. so i wanted to ask, are we on a time ron standard state? i would like to continue this item to the next finance and budget committee hearing so i can get a better picture. i believe that we will investigate and ask some questions. i would like to continue this item to the next budget and finance committee meeting if we are not under a time constraint for this. >> the only time constraint would be they need to have the board consider this contract prior to budget.

it is part of the budget and half of the services are long-standing prop j services so that would be the only time constraint. i just feel like i should say for the record while it is continued, we are required to have the terminal check point staff and the contract will continue until it is continued to next week. >> superviser fewer: and prop j and that provision is really about when it is an emergency situation. we may have layoffs of the own security guards that we hire through the city and county that might be facing layoffs and wondering if they could do these duties also and prop j shouldn't be taking jobs from city and county folk. let's continue this item. i make the motion to continue this item until the next budget and finance committee. can i have a roll call vote please?

>> on the motion, supervisor walton. >> aye. >> supervisor mandelman? >> aye. >> chair fewer? >> yay. >> thank you very much. please call item 14. >> item 14 resolution retroactively authorizing the department of public health to accept and expend a grant in the amount of $883,,000 from the california department of public health for participation in a program entitled "sexually transmitted disease program management and collaboration for the period july 1, 2019 through june 30, 2024." members of the public who wish to provide public comment should call 408-418-9388. please wait until the system indicates you have been unmuted and you may begin your comments. >> superviser fewer: thank you

very much, madam clerk. today we have with us dr. susan phillip from the department of public health. doctor, the floor is yours. >> thank you very much, chair fewer. thank you, supervisors walton and mandelman. thank you. i am coming today to talk about this grant which recognizes that unfortunately california has among the highest rates of s.t.d.s in the united states. rates are going up nationwide for chlamydia, gonorrhea and syphilis. that is true in california as well. and unfortunately in san francisco also. so this grant from the state was meant to recognize that local health jurisdictions such as san francisco need additional resources in order to try new and innovative partnerships and approaches. the emphasis that we are using this funding for is primarily on syphilis. syphilis has increased 11% between 2018 and 2019. it remains primarily an

infection in san francisco among men. infections in women are increasing. and in women one of the large concerns with syphilis is the possibility of congenital syphilis transmitted from a pregnant woman to the unborn child which is one of the most devastating complications of s.t.d.s. and this has been increasing nationally and in california. and we have seen increases in women with syphilis. and had 11 pregnant women with syphilis in 2019. and of which unfortunately despite very intensive efforts by our health department teams to provide navigation and care for children who are impacted by congenital syphilis. and these pregnant moms were very much associated with people experiencing homelessness and true throughout california as well through substance use and behavioral health issues and so

we want to think of innovative ways in which to partner and to try and address and reduce the impact of syphilis among women in san francisco. so majority of the funding is going to go to partnership with the ucfs project lilly team in the ob-gyn and to deliver prenatal care and prevention to who have housed and women who are experiencing homelessness to reduce impact on their health and health of the children as well. this is the largest part of the grant. we also are seeking to work with the ucsf prevention and disease intervention specialists. these are the staff that are very famous now very some of the covid work that they have been

doing and the core group of staff and experts with people who have syphilis and helping identify the partners and treated for presengs services as well. this would be the purpose of the dollars and we feel it is really important for the efforts overall to improve sexual health in san francisco to be able to utilize them. >> thank you very much. any comments or questions for my colleagues? there is no billing report on this. i have one question which is, do you have the racial demographics for this upward trend of people who are contracting syphilis? >> we do. i am happy to share those data. in a rate per population, it is most impacting people of color, burglarly black african-american women and happy to share the exact rates with the committee.

>> superviser fewer: i hope that the funds are really targeted to the population. and we have a high infant mortality rate among african-american also and this just combines even more, so i am just asking that we can be assured that these funds -- and these aren't a lot of funds to fight this huge problem, but that funds are really geared toward our african-american community and women that we are seeing a rise in and the majority of people that are actually of this group. i just would be -- you are shaking your head. i am assuming, doctor, that that is true. >> i will work with project lily to see how they distribute the fund and see what the overall client base is, but because they are working with the most vulnerable pregnant women in san francisco, i think that the funds will be used in how you

intend to really protect the most vulnerable residents who are experiencing pregnancy and all the comorbidities at the same time. >> superviser fewer: and that is great because you know as you worked so much with covid-19 stuff is this is a community that actually already has a lot of health disparities and also that outreach is much more challenging at times. i think that it requires much more resources to do it. i wanted to make clear this is a committee and the whole board that actually would like to see these funds really expended in a way that is targeted toward this population that already has such health disparity. thank you. let's open this up for public comment. item 14 please, madam clerk. >> clerk: operation is checking to see if there are callers in the queue. please let us know if there are caller that are ready. if you have not done so, press

star 3 to be added to the queue. for those on hold, continue to wait until you are set to begin at the beep. let us know if there are caller who is wish to comment on item 14. >> there are no callers. >> superviser fewer: i would like to move item number 14 to the board with a positive recommendation. may i have a roll call vote? >> on the motion, supervisor walton. >> aye. >> supervisor mandelman. >> aye. >> chair fewer? >> aye. >> there are three yay yays. >> superviser fewer: thank you very much. do we have any other business for us today? >> clerk: there is no further business. >> superviser fewer: i would like to mention that we are starting our budget and appropriations meeting earlier today at 12:30. we are anticipating a rather long meeting and i will see you all in 45 minutes. this meeting is adjourned. thank you very much.

>> supervisor fewer: the meeting will come to order. this is the july 8, 2020, rescheduled budget and appropriations committee meeting. i'm sandra lee fewer, chair of the budget and appropriations committee. our clerk is assisted today. i would like to thank sfgovtv for broadcasting the meeting. madame clerk, any announcements? >> yes, due to the covid-19 health emergency, city employees and the public, the board of supervisors and committee room, however, members will be participating in the meeting remotely. this precaution was taken pursuant to the